Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.53 / $3,401.00 / $11,550.00	Facility		$506.53	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $558.79 / $763.78	Professional		$476.56	$558.79	$763.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $297.92 / $389.45 / $432.73	Professional		$297.92	$389.45	$432.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.47 / $730.37 / $1,162.47	Professional		$474.47	$730.37	$1,162.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $255.28 / $534.29 / $688.96	Professional		$255.28	$534.29	$688.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $425.99 / $757.76	Professional		$71.09	$425.99	$757.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,364.00 / $12,923.00 / $20,609.00	Facility		$4,364.00	$12,923.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.17 / $593.66 / $1,039.45	Professional		$427.17	$593.66	$1,039.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $450.65 / $450.65 / $537.21	Professional		$450.65	$450.65	$537.21